O'Stasik, Jennifer Lynn
O'Stasik, Jennifer Lynn is an individual health care provider with primary practice located at 1245 S Utica Ave 2Nd Floor, Tulsa OK 74104-4214. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. O'Stasik, Jennifer Lynn can be contacted via phone (918) 579-3850.Contact Information
Primary practice address
1245 S Utica Ave 2Nd Floor
Tulsa OK 74104-4214
Phone: (918) 579-3850
Fax: (918) 579-3859
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 24940 | Oklahoma |
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 24940 | Oklahoma |
Profile Details
NPI number | 1447385091 |
---|---|
LBN Legal business name | O'Stasik, Jennifer Lynn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2007 |
Last updated | Jan 12th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447385091 | NPPES |
Oklahoma | MEDICAID | 200525560A |
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